Black, Joy Merry
Black, Joy Merry is an individual health care provider with primary practice located at 1270 Belmont Ave , Schenectady NY 12308-2104. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Black, Joy Merry can be contacted via phone (518) 382-4560.Contact Information
Primary practice address
1270 Belmont Ave
Schenectady NY 12308-2104
Phone: (518) 382-4560
Fax: (518) 386-3619
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 004974 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 004974 | New York |
Profile Details
NPI number | 1881786515 |
---|---|
LBN Legal business name | Black, Joy Merry |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 29th, 2006 |
Last updated | Dec 6th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881786515 | NPPES |
New York | Other | 120522000020 | FIDELIS |
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